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Service

Liver Surgery (Liver Tumour/ Hepatoma)

Understanding

Types & Origins of Liver Cancer​

Liver cancers may originate within the liver or spread from other organs. They are classified as:

They are commonly called as hepatomas or hepatocellular carcinomas (HCC) or liver tumours. These commonly arise in livers which are diseased with cirrhosis due to factors like:

There are of course other variants like intra hepatic Cholangiocarcinomas and the like. The treatment strategies are based on the severity of underlying liver disease and the location, size, multiplicity and stage of the disease.

The other group commonly known as metastatic tumours arises from other organs like colon, ovaries, breast, kidney etc and if the spread is restricted to the liver and is such that it is resectable then surgery may be the best option available if deemed appropriate by the surgeon.

Aggressive treatment strategies can cure or significantly prolong the life of many patients with liver cancer for which surgery forms the mainstay of treatment.
Symptoms and Signs

When and How Liver Cancer Reveals Itself

Early stages of cancer can be asymptomatic and may go undetected for months or even years. When symptoms do develop, they are most pronounced as pain.

Pain associated with cancer is a result of several possibilities

Other Symptoms May Include

Loss of Appetite
Loss of Weight
Fever of Unknown Origin
Limb Weakness
Sensory Loss
Absence of Tendon Reflexes in the Limb

General Signs of Liver Cancer​

Liver cancer, both primary and metastatic, often exhibits symptoms of general malaise as well as pain and tenderness. The discomfort is usually of a moderate degree and most often in the upper or upper right part of the abdomen. In more advanced cases, symptoms of jaundice, a yellowing of the skin and eyes, may also appear.

Frequently, patients with liver tumors are asymptomatic (have no symptoms). The diagnosis is made during an examination as part of a routine follow-up after cancer treatment in case of metastatic tumors. Primary cancers are usually picked up by screening of susceptible group of people.

STAGES

Staging of Liver Cancer

Each type of cancer has specific staging criteria. In general the different stages can be summarized as follows:
ACTIONS

Diagnosis & Treatment

Why Choose Dr. Ravi?

Dr. Ravishankar K. Diddapur

Senior Consultant Single Keyhole Laparoscopic Surgeon

MBBS, M.S (Gen Surg – KEMH, Bombay), FAMS
Over 30 years of clinical experience in gastrointestinal and metabolic surgery

Over 30 Years of Surgical Experience

Dr. Ravi has been practicing surgery for more than three decades, with extensive experience in Hepato Pancreatico Biliary conditions with advanced laparoscopic surgery inclusive of one key hole laparoscopic surgery and liver transplants

His clinical focus includes:

Dr. Ravi routinely performs laparoscopic (keyhole) and endoscopic procedures, which are associated with smaller incisions and faster recovery times compared to traditional open surgery.

(Based on standard clinical outcomes for minimally invasive techniques.)

He holds a university academic appointment and is actively involved in teaching medical students and surgical trainees in Singapore, reflecting his commitment to medical education and continuous learning.

Dr. Ravi is affiliated with various international and local professional bodies including: